Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cooks Healthcare, LLC (NPI 1952625428)

Field	Value
Entity Type	Organization
Organization	Cooks Healthcare, LLC
Address	611 Moss Hill Dr
City	New Albany
State	MS
ZIP	38652
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 26, 2010

Payer Source	Total Paid
Medicaid	$24.8M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (total Medicare revenue: none) and is effectively a Medicaid-only operator, with $24.8M in lifetime Medicaid revenue. The absence of Medicare billing indicates its payer mix is heavily concentrated in state Medicaid programs rather than federal fee-for-service Medicare.

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing 89.0% and S5150 representing 11.0%. This concentration means a single service line drives the vast majority of receipts.

The top codes and their descriptions show a clear in-home, hands-on care model: T1019 (personal care services, per 15 minutes) accounts for the bulk of activity, while S5150 (unskilled respite care, per 15 minutes) provides supplemental respite support. Both codes are time-based, per-15-minute services, which implies a labor- and visit-frequency-driven cost structure typical of community-based personal care agencies.

Activity and revenue by code underscore scale and operational intensity: T1019 generated 279.2K claims at a $79 avg paid/claim for $22.1M in revenue, while S5150 generated 37.4K claims at a $73 avg paid/claim for $2.7M in revenue. These exact claim counts, average payments, and revenues indicate a high-volume, low-to-moderate unit reimbursement model consistent with routine in-home personal care delivery.

State-level competitive standing is notable but not dominant: T1019 ranks #11 of 171 providers in-state (94th percentile; typical, unremarkable volume) and S5150 ranks #12 of 85 providers in-state (87th percentile; typical, unremarkable volume). In plain terms, the provider is among the higher-volume in-state participants for its core codes but the dataset characterizes those volumes as typical rather than extreme outliers.

The revenue concentration on a single time-based personal care code (T1019 at 89.0%) creates operational and reimbursement exposure — changes in Medicaid policy, rate-setting, or eligibility for that code would materially affect overall revenue. Because the top-3 codes make up 100.0% of Medicaid revenue, there is limited diversification within the payer product mix to absorb such shifts.

The provider has an established operational history: its NPI was enumerated on 2010-03-26 (~16 years ago), indicating long-standing participation in the Medicaid market. That tenure, combined with high claim volumes for T1019, suggests an entrenched service footprint in New Albany, MS, even though it remains concentrated in a narrow set of billed services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	279,150	$80	$22.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	37,390	$70	$2.7M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Cooks Healthcare, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	11	170	29,150	$100	$8.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	12	90	5,060	$60	$1.3M

Nearby Providers

Other providers in the same ZIP code as Cooks Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital Union County, Inc.	MS	General Acute Care Hospital	$0	$32.8M
Internal Medicine And Pediatric Clinic Of New Albany, PLLC	MS	Internal Medicine Physician	$0	$9.9M
New Albany Ob/gyn Clinic PC	MS	Clinic/Center	$0	$6.5M
Spartan Orthopaedics, LLC	MS	Orthopaedic Surgery Physician	$0	$2.8M
James Googe	MS	Pediatrics Physician	$0	$2.4M
Cooks Adult Day Care LLC	MS	Home Health Agency	$0	$1.5M
Renal Care Group Tupelo, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
James Coleman	MS	Dentist	$0	$1.2M
William Frohn	MS	Specialist	$6.3K	$633.3K
Marley Rumbarger	MS	Nurse Practitioner	$416.3K	$0

Cooks Healthcare, LLC — Billing Profile & Reimbursement Data

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Cooks Healthcare, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References